DX following Total Knee revision

raidaste

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Pt was seen back in office after a total knee revision for a check up. I'm not sure of what DX code to use since this wasn't a TKA. Any help?
 

mitchellde

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It is either a V code for a follow up or a V code for aftercare or a code for a surgical complication whichever fits the documentation, it is not however the dx code for the problem the surgical procedure was performed for.
 

mcnaryk

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Pt was seen back in office after a total knee revision for a check up. I'm not sure of what DX code to use since this wasn't a TKA. Any help?
If there was any joint pain or other reason for the visit, code that first. Otherwise, I would just use V43.65 for knee joint replacement status. If there is any instablility or other complication with the joint implant itself, use a Complication code.
 

mitchellde

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V43.65 cannot be used first listed it can be used as a secondary code with the V code for aftercare or follow up first listed.
 

OCD_coder

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V54.81 (primary code) Aftercare following joint replacement
V43.65 (secondary) Organ or tissue replace by other means, knee

A revision is essentially a joint replacement whether partial or complete. You would code a patient post-TKA the same as a revision as there are technically no "revision" ICD-9 codes.
 
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